Matchup

Qiyana
Qiyana
0%
100%

vs

50.2%

over 223 games

Karthus
Karthus
17%
83%
Heavy AP damageCountered by stasisSustained DPSHigh burst

Skill matchup

Build vs Karthus

Build adapted to this matchup

Starting items

Gustwalker Hatchling
Health Potion

Core build

Hubris
1vs Tank
Axiom Arc
2vs Tank
Serylda's Grudge
3vs Tank

Standard

Ionian Boots of Lucidity
4CDR
Profane Hydra
5vs Tank

Summoner spells

411100%

Anti AD

Plated Steelcaps
4vs AD
Guardian Angel
5vs AD
Death's Dance
vs AD

Anti AP

Mercury's Treads
4vs CC
Maw of Malmortius
5vs AP

Anti Tank

Profane Hydra
5vs Tank
Voltaic Cyclosword
vs Tank
Edge of Night
vs Tank
Serpent's Fang
vs Tank
Umbral Glaive
vs Tank
Youmuu's Ghostblade
vs Tank
Bastionbreaker
vs Tank
Lord Dominik's Regards
vs Tank
The Collector
vs Tank

DPS

Opportunity
DPS
85.7% WR7 games
InspirationInspiration
First StrikeFirst Strike
Magical FootwearMagical Footwear
Triple TonicTriple Tonic
Cosmic InsightCosmic Insight
DominationDomination
Ultimate HunterUltimate Hunter
Sudden ImpactSudden Impact
Adaptive ForceAdaptive ForceHealth Scaling

Power Spikes

Strength by game phase

Early (0-15)
Mid (15-30)
Late (30+)
QiyanaQiyana
KarthusKarthus
Aggressive
Careful
Careful

Karthus's abilities

Passive, spells and ultimate

Death Defied (P)

Upon dying, Karthus enters a spirit form that allows him to continue casting spells.

Cooldowns

Cooldowns by spell rank

LevelQWER
30s15s0.5s
60s15s0.5s3m20
90s15s0.5s3m20
110s15s0.5s3m
160s15s0.5s2m40
180s15s0.5s2m40

Playing against Karthus

How to counter and exploit weaknesses

1

Zhonya's, Edge of Night, and Banshee's block/cancel his R — buy one of these items if Karthus focuses you.

2

His Q deals double damage on isolated targets: stay in your minions or near allies to split the damage.

3

Shields, Soraka R, and heals can counter his R if well-timed — save an emergency heal for Requiem.

4

Karthus is immobile and squishy — dive him quickly to eliminate him before he deals continuous damage.

Source: op.gg + LTL Engine · Patch 16.9.1 · May 9, 2026